Organization Active NPI

Health Clinic PC

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1982940623
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007582 Issued in IA
Legal business name
HEALTH CLINIC PC
Practice address
103 E 1St St
Ankeny, IA 50021-1727
Phone
(515) 965-2344
Fax
(515) 965-2269
NPI assigned
Dec 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle Grundmeyer, DCNPI 1194079244
Title
Doctor of Chiropractic/President
Phone
(515) 965-2344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 007582 IA Primary

Addresses

Primary practice location

103 E 1St St
Ankeny, IA 50021-1727

Mailing address

103 E 1St St
Ankeny, IA 50021-1727
Phone (515) 965-2344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130304000339 IA Part B Supplier - Clinic/Group Practice 3779738497 Receives reassigned benefits from 1 practitioner
Practice locations: Ankeny, IA

National Provider Directory

National Provider Directory

Locations

107 NE Delaware Ave
Ste 3
Ankeny, IA 50021
Phone (515) 416-4245

103 E 1st St
Ankeny, IA 50021
Phone (515) 965-2344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1982940623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 1ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500211727",
            "telephone_number": "515-965-2344",
            "fax_number": "515-965-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 1ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500211727",
            "telephone_number": "515-965-2344",
            "fax_number": "515-965-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "GRUNDMEYER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/PRESIDENT",
        "authorized_official_telephone_number": "515-965-2344",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.